Biomedical subjects
Publications and source records attributed to T Hudson.
Spending on staff training in health care lags behind other fields, but several hospitals are getting ahead of the curve with innovative programs. They're offering classes to department managers, clinicians, even housekeeping staff. "Before, we were considered managers without brains," says the education coordinator at one hospital. "Now you have ownership, responsibility, and authority. The morale at the hospital is the best it's ever been."
When filling important jobs, a good fit now works both ways. "Recruiting is an attitude," says one executive search pro. "And it's marketing." It's also equal parts horse sense, careful interviewing, and soul-searching. No matter how down-pat your organization's recruiting process, a refresher will keep you on your toes and a bad fit from disrupting your strategy--or your sleep.
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Explore the source record for details and available documents.
Health care is seeing a revival of customer service, driven by cost pressure, competition, and a nagging conscience to do the right thing. In some markets, health systems no longer compete on prices. They're already cut to the bone. Service is how they aim to set themselves apart.
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Sharing risk with HMOs requires the patience of a kindergarten teacher, the finesse of a U.N. negotiator, and the agility of a fighter pilot. Intimidated yet? Neither are these executives. Our exclusive data show how hospitals handle risk contracts.
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Three years after going public, FPA Medical Management rose from obscurity to become the nation's second largest practice manager. Its network of primary care doctors ballooned from only 95 to nearly 6,700. Now, as executives mull over $2 billion in acquisitions, the company is set to bulk up even more.
Familial eosinophilia (FE) is an autosomal dominant disorder characterized by peripheral hypereosinophilia of unidentifiable cause with or without other organ involvement. To localize the gene for FE, we performed a genomewide search in a large U.S. kindred, using 312 different polymorphic markers. Seventeen affected subjects, 28 unaffected bloodline relatives, and 8 spouses were genotyped. The initial linkage results from the genome scan provided evidence for linkage on chromosome 5q31-q33. Additional genotyping of genetic markers located in this specific region demonstrated significant evidence that the FE locus is situated between the chromosome 5q markers D5S642 and D5S816 (multipoint LOD score of 6.49). Notably, this region contains the cytokine gene cluster, which includes three genes-namely, those for interleukin (IL)-3, IL-5, and granulocyte/macrophage colony-stimulating factor (GM-CSF)-whose products play important roles in the development and proliferation of eosinophils. These three cytokine genes were screened for potential disease-specific mutations by resequencing of a subgroup of individuals from the present kindred. No functional sequence polymorphisms were found within the promoter, the exons, or the introns of any of these genes or within the IL-3/GM-CSF enhancer, suggesting that the primary defect in FE is not caused by a mutation in any one of these genes but, rather, is caused by another gene in the area.
Hospitals and physician practices may for pricey partners: The median hospital-owned operation looses a sizable $57,000 a year. That number and others--compiled exclusively for H&HN by the Medical Group Management Association--beg big questions about how long hospitals can continue to subsidize unprofitable practices.
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Managed care has stepped on the oxygen line of academic medicine, cutting patient revenue needed for research basics and delaying clinical trials. If that isn't worry enough, private firms and foreign universities are grabbing market share from academic medical centers in the United States.
Primary care doctors pocketed huge raises five years ago, when HMOs drove up demand for their services and hospitals began snapping up their practices. But the pay party has ended, as this Executive Chartbook exclusive shows.